This 62-year old lady came to me troubled by heaviness in the lower face and a loss of neck contour that was particularly unflattering on side profile photos. After careful discussion about treatment options, she underwent a combined deep plane facelift and deep neck lift. Reducing deep neck structures including the submandibular glands is a very specialised aspect of facial rejuvenation surgery that is key to achieving such a profound improvement in the neck contour. The selling often takes several months to settle fully. At 11 months, she was thrilled with the outcome and improved self-confidence.